Tu1951 A NEW TECHNIQUE IN TREATMENT OF ZENKER DIVERTICULUM: SUBMUCOSAL TUNNELING ENDOSCOPIC SEPTUM DIVISION (Z-POEM) VERSUS CLASSIC ENDOSCOPIC SEPTOMYOTOMY TECHNIQUES

Aslan, Fatih; Yilmaz, Onur; Sengun, Berke; Unlukaplan, Aytekin; Karahan, Salih Nafiz; Kocak, Elif

doi:10.1016/j.gie.2019.03.1095

Cited by 10 publications

(18 citation statements)

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“…The Z-POEM group had a longer hospital stay with a higher clinical success rate (100% vs. 80%) than the standard flexible endoscopic septotomy group. 28 Similar findings were reported in the abstract by Desai et al, who conducted a retrospective study comparing these two endoscopic techniques. 29 The follow-up duration in this case series was 18 months, with a significantly higher recurrence rate in the standard endoscopic diverticulotomy group (37.5% vs. 0%) and fewer adverse events in the Z-POEM group (14% vs. 62.5%).…”

Section: Outcomes Of Zenker's Diverticulum Using the Peroral Endoscopsupporting

confidence: 82%

“…27 In 2019, Aslan et al published an abstract reporting the outcomes of a prospective study comparing the standard flexible endoscopic septomyotomy with the Z-POEM technique. 28 A total of 29 patients were included in the study and divided into two groups. The Z-POEM group had a longer hospital stay with a higher clinical success rate (100% vs. 80%) than the standard flexible endoscopic septotomy group.…”

Section: Outcomes Of Zenker's Diverticulum Using the Peroral Endoscopmentioning

confidence: 99%

“…In 2019, Aslan et al published an abstract reporting the outcomes of a prospective study comparing the standard flexible endoscopic septomyotomy with the Z-POEM technique [ 28 ]. A total of 29 patients were included in the study and divided into two groups.…”

Section: Outcomes Of Zenker’s Diverticulum Using the Peroral Endoscopmentioning

confidence: 99%

“…A total of 29 patients were included in the study and divided into two groups. The Z-POEM group had a longer hospital stay with a higher clinical success rate (100% vs. 80%) than the standard flexible endoscopic septotomy group [ 28 ]. Similar findings were reported in the abstract by Desai et al, who conducted a retrospective study comparing these two endoscopic techniques [ 29 ].…”

Section: Outcomes Of Zenker’s Diverticulum Using the Peroral Endoscopmentioning

confidence: 99%

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Role of Peroral Endoscopic Myotomy (POEM) in the Management of Esophageal Diverticula

et al. 2020

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Esophageal diverticula are uncommon; however, when present, they can cause symptoms of dysphagia, regurgitation, and chest pain. Based on location and pathophysiological characteristics, they are classified as pulsion-and traction-type diverticula. In the past, the open surgical approach was the only treatment available; however, in the past few decades, transoral incisionless approaches in the form of rigid and flexible endoscopy have gained popularity. Diverticular peroral endoscopic myotomy has emerged as an alternative treatment option. In this paper, we reviewed the role of peroral endoscopic myotomy as a treatment option for different types of esophageal diverticula. Although a safe and effective procedure, this novel submucosal tunneling technique for the treatment of esophageal diverticula requires further validation, and head-to-head comparisons between the different approaches for the treatment of esophageal diverticula are warranted.

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Section: Outcomes Of Zenker's Diverticulum Using the Peroral Endoscopsupporting

confidence: 82%

Section: Outcomes Of Zenker's Diverticulum Using the Peroral Endoscopmentioning

confidence: 99%

Section: Outcomes Of Zenker’s Diverticulum Using the Peroral Endoscopmentioning

confidence: 99%

Section: Outcomes Of Zenker’s Diverticulum Using the Peroral Endoscopmentioning

confidence: 99%

See 2 more Smart Citations

Role of Peroral Endoscopic Myotomy (POEM) in the Management of Esophageal Diverticula

et al. 2020

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“…This was perhaps to be expected, considering that all participating centers shared their initial Z-POEM cases at the beginning of their learning curve. However, these data were confirmed by the first comparison study presented at the 2020 Digestive Diseases Week by Aslan et al [ 39 ]. Still, retrospectively matching 20 FESDs and 9 Z-POEMs might not be considered a reliable way to corroborate the strength of a third space approach; thus, future studies are needed.…”

Section: Third-space Flexible Endoscopic Approachesmentioning

confidence: 59%

Flexible endoscopic treatment for Zenker’s diverticulum: from the lumen to the third space

Maselli¹,

Spadaccini

Cappello

et al. 2021

aog

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Zenker’s diverticulum (ZD) is a rare outpouching of the esophageal mucosa herniating posteriorly through Killian’s triangle. Treatments of ZD aim to dissect the cricopharyngeal muscle to remove the underlying dysfunctional condition. In the last decade, a septotomy performed utilizing a flexible endoscope has been reported as a safe and effective alternative to both open surgery and rigid endoscopic diverticulotomy. More recently, Li et al described a novel endoscopic technique to treat ZD, named “submucosal tunneling endoscopic septum division”, inspired by the peroral endoscopic myotomy (POEM) procedure developed for achalasia. Subsequently, the term Z-POEM was introduced and has become the most frequently used acronym to define the tunneling technique for ZD. This article describes the flexible therapeutic endoscopic strategies for treating ZD, including the novel third space approach, which seems to show promising potential in terms of clinical efficacy and safety.

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The role of peroral endoscopic myotomy for Zenker's diverticulum: a systematic review and meta-analysis

Zhang

Huang²,

Xia

et al. 2022

Surg Endosc

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Tu1951 A NEW TECHNIQUE IN TREATMENT OF ZENKER DIVERTICULUM: SUBMUCOSAL TUNNELING ENDOSCOPIC SEPTUM DIVISION (Z-POEM) VERSUS CLASSIC ENDOSCOPIC SEPTOMYOTOMY TECHNIQUES

Cited by 10 publications

References 0 publications

Role of Peroral Endoscopic Myotomy (POEM) in the Management of Esophageal Diverticula

Role of Peroral Endoscopic Myotomy (POEM) in the Management of Esophageal Diverticula

Flexible endoscopic treatment for Zenker’s diverticulum: from the lumen to the third space

The role of peroral endoscopic myotomy for Zenker's diverticulum: a systematic review and meta-analysis

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